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ARSM programme form Please complete this form and bring it with you to your exam. Include full details of your programme, in the order you are presenting it, and hand the form to the examiner before you begin. Best wishes for an enjoyable and successful exam! Visoow Sruthy Instrument/Voice Claret” wy ABRSM Name ‘ARSM | Composer Piece/Song to be performed ‘Approx. list no. | (and arranger (include work title, Opus or ather catalogue number, timing, wopaeane) Saale na ieetnceanes eT oo 67 Mozart Sonata in B flat, K. 570 nok, Alege oe ‘and mov, Adagio vas ard movt, Allegretto v3 ; . lee HM \Douzets’ | Gdio Nb1 f #00 clan ly'ss 4t | Meber Cawt Ab. uw four, BB host Ist movt - Ale +0 tant 6'30) 32 Arnold Menage dod mot ~ Adages me aor tayo BREAK Schuretto (Buus Femple. hblicchors) Slo dle Concows Forexaminer'suse: Date of exam Overall programme length Jl. Examiner code 30 00

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